Average Medicaid Office Visit Payments in Hawthorne, NY: $133.96
Avg. Paid
$133.96
Range
$0.00 – $235.32
Total Claims
153,681
Providers
147
Typical Payment Range
Typical Medicaid Office Visit payments fall between $29.28 and $67.92 per claim (median: $46.55). The top 10% of payments exceed $95.29.
Based on per-provider averages across all Medicaid claims in this category.
A standard doctor's office visit for evaluation and management of medical conditions. Includes new patient visits, follow-up visits, and consultations.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Office Visit in Hawthorne, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Boston Children'S Health Physicians, Llp
19 Skyline Dr Ofc 1N-D06 |
$160.25 | 56,368 | 52,445 |
|
Tali Lando
19 Bradhurst Ave Ste 3600S |
$114.96 | 7,046 | 6,971 |
|
Damon Alfred Delbello
19 Bradhurst Ave Ste 1300N |
$86.31 | 6,020 | 5,983 |
|
Majida Abdul Gaffar
40 Saw Mill River Rd Ste Ul7 |
$52.64 | 4,798 | 4,467 |
|
Lianne Deserres
19 Bradhurst Ave Ste 3600S |
$129.92 | 3,384 | 3,313 |
|
Elizabeth De La Riva-Velasco
19 Bradhurst Ave |
$191.50 | 3,301 | 3,217 |
|
Angela Silber
19 Bradhurst Ave Ste 2750S |
$85.27 | 2,911 | 2,251 |
|
Jonathan Paul Giannone
19 Bradhurst Ave |
$95.97 | 2,681 | 2,602 |
|
Joseph T Boyer
19 Bradhurst Ave |
$151.89 | 2,569 | 2,556 |
|
Christy Kim
19 Bradhurst Ave |
$183.16 | 2,474 | 2,364 |
|
Robyn Matloff
19 Skyline Dr |
$77.12 | 2,219 | 2,040 |
|
David J Costabile
22 Saw Mill River Rd |
$105.86 | 2,202 | 2,065 |
|
Mark S Glassman
19 Bradhurst Ave |
$53.26 | 1,949 | 808 |
|
Aliza Esther Gardenswartz
19 Bradhurst Ave |
$206.98 | 1,851 | 1,353 |
|
Katrina Ruth Stidham
19 Bradhurst Ave Ste 3100N |
$106.20 | 1,749 | 1,631 |
|
John J Welter
19 Bradhurst Ave |
$204.62 | 1,669 | 1,628 |
|
Jennifer Leong
19 Bradhurst Ave Ste 1300N |
$91.07 | 1,621 | 1,610 |
|
Pushpa Viswanathan
19 Bradhurst Ave |
$96.31 | 1,594 | 1,574 |
|
Gerald Matthews
19 Bradhurst Ave Ste 1900S |
$81.56 | 1,554 | 1,519 |
|
Joseph L Giamelli
19 Bradhurst Ave |
$225.09 | 1,450 | 1,431 |
|
Thomas Dominic Cerabona
19 Bradhurst Ave |
$94.77 | 1,446 | 1,383 |
|
Mehmet Fevzi Ozkaynak
19 Bradhurst Ave |
$189.40 | 1,370 | 1,149 |
|
Karen Patricia Seiter
19 Bradhurst Ave |
$81.94 | 1,262 | 823 |
|
Maria Paola Mckenna
19 Bradhurst Ave., |
$102.39 | 1,254 | 1,197 |
|
Tanya Lucas
4 Skyline Dr |
$51.10 | 1,210 | 346 |
|
Allyson M Flower
19 Skyline Dr |
$177.16 | 1,164 | 723 |
|
Yehudit Pollack
22 Saw Mill River Rd |
$198.52 | 1,150 | 1,091 |
|
Joseph Vozzolo
19 Bradhurst Ave |
$103.04 | 1,087 | 1,057 |
|
Karen Ann-Marie Wilson
265 Saw Mill River Rd |
$118.20 | 1,040 | 965 |
|
Nadav Traeger
19 Bradhurst Ave |
$199.86 | 998 | 988 |
|
Diana B Lowenthal
19 Bradhurst Ave |
$119.70 | 976 | 791 |
|
June Andrea Mossop
228 Linda Ave |
$48.88 | 973 | 923 |
|
Oya Tugal
19 Bradhurst Ave |
$193.71 | 947 | 826 |
|
Brittany Sanford
19 Bradhurst Ave Ste 2700S |
$104.11 | 947 | 896 |
|
Maria E Lombardi
19 Bradhurst Ave |
$106.02 | 945 | 887 |
|
Sankaran S Krishnan
19 Bradhurst Ave |
$177.31 | 928 | 917 |
|
Mary C See
19 Bradhurst Ave |
$150.74 | 886 | 822 |
|
Kamilah N Heywood-Gregory
19 Bradhurst Ave |
$166.98 | 870 | 867 |
|
Ashutosh Kaul
19 Bradhurst Ave |
$100.62 | 864 | 822 |
|
Suzette Gjonaj
19 Bradhurst Ave |
$203.56 | 836 | 819 |
|
Lynnette Cukaj
19 Bradhurst Ave |
$167.19 | 832 | 826 |
|
Priya Shalini Prashad
19 Bradhurst Ave |
$191.27 | 816 | 730 |
|
Victoria Minior
19 Bradhurst Ave Ste 2750S |
$89.44 | 737 | 608 |
|
Agnes Q Banquet
19 Bradhurst Ave |
$195.53 | 732 | 716 |
|
Anu Mallapaty
19 Bradhurst Ave |
$169.72 | 699 | 698 |
|
James G Miceli
19 Bradhurst Ave Ste 3060N |
$119.42 | 668 | 663 |
|
Shyla Kodi
19 Bradhurst Ave |
$113.84 | 663 | 651 |
|
Youngsook Cathy Kim
19 Bradhurst Ave |
$69.84 | 631 | 623 |
|
Sorana Vrabie-Wolf
19 Bradhurst Ave Ste 2700 |
$73.32 | 610 | 555 |
|
Surgical Intensivists, Pc
19 Bradhurst Ave |
$115.08 | 563 | 549 |
What to Expect: Office Visit
A typical office visit lasts 15-45 minutes depending on complexity. Your doctor will review your medical history, discuss symptoms, perform a physical exam, and discuss treatment options. You may receive prescriptions, referrals, or orders for diagnostic tests. Follow-up visits are usually shorter than new patient visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99213 | Office visit established mod | $43.18 | 764,306,590 | 487,602 |
| 99214 | Office visit established mod-hi | $59.53 | 502,480,931 | 466,856 |
| 99212 | Office visit established low | $41.69 | 92,299,154 | 127,462 |
| 99203 | Office visit new moderate | $67.55 | 47,756,882 | 127,334 |
| 99211 | Office visit established minor | $39.24 | 44,127,221 | 47,748 |
| 99204 | Office visit new moderate-high | $92.03 | 32,379,031 | 111,937 |
| 99215 | Office visit established high | $93.58 | 29,619,773 | 74,725 |
| 99202 | Office visit new low | $58.57 | 9,372,712 | 35,486 |
| 99205 | Office visit new high | $136.10 | 3,665,382 | 19,737 |
| 99244 | Office consultation mod-high | $118.25 | 3,405,681 | 11,884 |
| 99243 | Office consultation moderate | $78.55 | 2,585,480 | 8,432 |
| 99245 | Office consultation high | $132.29 | 645,300 | 3,046 |
| 99242 | Office consultation low | $58.27 | 483,445 | 1,980 |
| 99241 | Office consultation brief | $66.15 | 295,664 | 712 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Office Visit cost in Hawthorne, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Office Visit in Hawthorne, NY is $133.96 per claim, based on 153,681 claims from 147 providers. Typical payments fall between $29.28 and $67.92. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Office Visit in Hawthorne, NY?
There are 147 Medicaid providers offering Office Visit related services in Hawthorne, NY according to public payment data.
What is the price range for Office Visit in Hawthorne, NY?
Medicaid reimbursement for Office Visit in Hawthorne, NY ranges from $0.00 to $235.32 per claim, with an average of $133.96. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Office Visit in Other Cities
Brooklyn, NY
Avg $71.20
32,336,840 claims · 5588 providers
New York, NY
Avg $81.86
23,551,154 claims · 7530 providers
Los Angeles, CA
Avg $24.20
16,948,065 claims · 5565 providers
Chicago, IL
Avg $30.31
13,989,780 claims · 5801 providers
Bronx, NY
Avg $82.40
13,626,712 claims · 3705 providers
Phoenix, AZ
Avg $47.53
13,269,420 claims · 4233 providers
Houston, TX
Avg $48.27
8,766,644 claims · 4540 providers
Las Vegas, NV
Avg $54.47
8,578,324 claims · 3512 providers
Other Procedures in Hawthorne, NY
Home Health Visit
Avg $213.75
87,682 claims
EKG / ECG (Electrocardiogram)
Avg $7.44
53,314 claims
Ultrasound
Avg $67.58
40,063 claims
Blood Work & Lab Tests
Avg $26.29
37,669 claims
Vaccines & Immunizations
Avg $8.09
30,374 claims
Dental Cleaning & Exam
Avg $56.62
21,927 claims
X-Ray
Avg $7.31
20,305 claims
Physical Therapy
Avg $49.67
19,438 claims